2. If you will be out-of-town for at least three days and the house will be vacant, the Fairfield Police Department will periodically check the security of your home and you may use this online form to register for this service. While the police department will make an effort to check your home, circumstances may prevent us from providing this service. If police officers find your home unsecured, we will attempt to contact you or any additional person you list on the form.
   
   When you return home, please call the Fairfield Police Department at 513-829-8201 to confirm your return.
   
   Note: Please do not use this form to request checks of a vacant residence. If you would like to request extra patrols of a vacant property, please call the police department and speak with a dispatcher.
6. Name*
8. Address*
10. City
11. State
12. Zip Code
14. Home Phone*
15. Cell Phone*
17. E-mail Address:*
19. Is there a local person with key access to the residence that we can contact in the event of an emergency?

    1. Yes
    2. No
21. Name*
22. Phone*
24. Date Leaving - Date Returning*
    Date Leaving - Date Returning Start Date

    —

    Date Leaving - Date Returning End Date
26. Will lights be left on?

    1. Yes
    2. No
27. Location of lights:*
29. Will there be any vehicles in the driveway?

    1. Yes
    2. No
30. Vehicle description and/or license plate numbers:*
32. Will there be pets left in the house?

    1. Yes
    2. No
33. Type of pet(s):*
35. Will there be anyone inside the house during your vacation?

    1. Yes
    2. No
36. Who and when?*
38. Do you have an alarm system?

    1. Yes
    2. No
39. Alarm Company Name*
41. Alarm Company Phone
43. Additional Comments
Leave This Blank:


45. Submit

* indicates a required field